Annual Report/Financials

First Name *

Last Name *

Business Name, if applicable

Street Address *

Address Line 2

City/Town *

we can only pick up within our service territory towns; all other, contact another ReStore

Phone Number *

Alternate phone number

Email Address *

House Color *

Location Type

Please check any that apply

Private Residence

Apartment/Townhouse

Commercial Building

Items you wish to donate and other comments and instructions. If you are donating gas appliances, please indicate if it's Natural Gas (NG) or Propane (LP).

Is your donation in any way broken or damaged (upholstery ripped or stained)? *

Yes

No

Has your donation been in a smoking environment? *

Yes

No

Has your donation been used frequently by pets, covered in hair, have pet stains or pet odor? *

Yes

No

On what floor are your items located?

Basement

First floor

Second floor

Third floor

Garage

Driveway

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Annual Report/Financials

Contact Us

Address

Email

Phone no.

Contact ReStore

Address

Email

Phone no.